Korean J Otorhinolaryngol-Head Neck Surg.  2016 Jul;59(7):522-526. 10.3342/kjorl-hns.2016.59.7.522.

Clinical Features and Outcomes of a Rare Nasal Cavity Tumor Glomangiopericytoma

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. binent@hanmail.net
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Seoul Metropolitan Government Seoul National University, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND AND OBJECTIVES
Glomangiopericytoma falls within the category of borderline low-malignant-potential soft tissue tumors of the nose and paranasal sinuses. It is a rare tumor arising from the pericytes surrounding capillaries, and accounts for less than 0.5% of all sinonasal tumors. The aim of this study was to analyze the clinical manifestation and surgical outcomes of the glomangiopericytoma in the nasal cavity.
SUBJECTS AND METHOD
Medical records of eight patients who were surgically managed for glomangiopericytoma of the nose and paranasal sinuses from 2000 to 2015 were retrospectively reviewed. Clinical features, size, Immunohistochemical staining, extent of surgery, adjuvant treatment, and recurrence were evaluated.
RESULTS
Eight patients, 3 males and 5 females, were enrolled, with the mean age of 54.7 years old. The most common symptom of glomangiopericytoma was ipsilateral nasal obstruction. All patients got surgical treatment, and one patient received radiation to the surgical site, whose margin of resection was positive. The mean follow-up period was 39.5 months (3-176 months). During the follow-up period, one patient was found to have a positive resection margin.
CONCLUSION
The surgical outcome shows that complete initial excision is important to prevent recurrence. Furthermore, adjuvant radiation therapy may also be a reasonable option for some patients with margin involvement.

Keyword

Hemangiopericytoma; Paranasal sinus neoplasms; Recurrence

MeSH Terms

Accidental Falls
Capillaries
Female
Follow-Up Studies
Hemangiopericytoma
Humans
Male
Medical Records
Methods
Nasal Cavity*
Nasal Obstruction
Nose
Paranasal Sinus Neoplasms
Paranasal Sinuses
Pericytes
Recurrence
Retrospective Studies
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